Milestones Flashcards
Voluntary release: Unable to voluntarily release
0 to 1 mo.
Dominance hand skills: Hand dominance established for skilled activities but depends on the task
3 years to 4 years
Grasp: Inferior pincer grasp(index finger surface and thumb)
0 to 7 1/2 mo. to 0 to 9 mo.
Dominance hand skills: Starting to use lead and assist pattern
0 to 6 mo.
Dominance hand skills: Uses either hand for approach and contact
0 to 4 mo.
Voluntary release: Transfers hand to hand using mouth to stabilize
1 mo to 5 mo.
Grasp Digital pronated grasp of writing instrument:
1 year 8 mo to 2 years
Grasp: Poke w/ index finger
9 to 10 mo.
In-hand manipulation: Ability to shift objects from proximal to distal orientation with thumb and fingers is emerging.
3 years to 3 years and 6 mo.
In-hand manipulation: Brings objects from finger pads to palm(emerging)
1 year to 1 year and 6 mo.
Grasp: Gross grasp on crayon
0 to 11 mo to 1 year to 0 mo.
Grasp: Superior pincer grasp(thumb to index finger pad tip)
9 mo to 1 year
Fine motor reach: arms move asymmetrically
0 to 3 mo.
Fine motor reach: Hands to midline and held together-swipes at objects
1 to 3 mo.
Fine motor reach: External rotation of shoulder to supinate forearm( whole arm movement) while reaching in to remove object is emerging.
0 to 10 mo.
Dominance hand skills: Hand preference emerging
1 year to 6 mo.
Dominance hand skills: Either hand leading
0 to 8 mo to 0 to 9 mo.
Bilateral hand skills: Symmetrical movement patterns reach with both hands and bring to midline
3 mo.to 10 mo.
Grasp: over all grasp patterns established( not for tool use)
5 years old
Bilateral hand skills: Asymmetrical movement patterns
0 to 3 mo.
Dominance hand skills: Uses either hand for approach and grasp
0 to 5 mo.
In-hand manipulation: manipulation with stabilization is developed
6 years 0 mo.
Grasp: Lateral pincer grasp( thumb and radial fingers)
7 to 9 mo.
Grasp: Neat pincer grasp and thumb opposition present (fingertip to fingertip)
1 year to 1 year and 3 mo.
In-hand manipulation: In-hand manipulation well developed; speed of manipulation increases
12 years to 0 mo
Bilateral hand skills: Emerging use of one hand to stabilize item while other hand activates (i.e. string beads, snip with scissors)
2 years to 0 mo to 2 years to 5 mo.
In-hand manipulation: Repositions object in hand without use of external surface
4 years and 0 mo.
Grasp: Indwelling thumbs disappear, voluntary grasp emerges.
2 to 3 mo.
Grasp: Palmer grasp
4 to 5 mo.
Dominance hand skills: Dominant hand leads, non-dominant not in use
1 year to 1 year 1 mo.
In-hand manipulation: Continue to refine in-hand manipulation and dexterity skills
9 year 0 mo. to 10 years and 0 mo.
Dominance hand skills: Unilateral swiping
0 to 3 mo.
In-hand manipulation: Brings objects from palms to fingers, repositioning object 90 degrees or less(simple rotation)
2 years to 2years and 6 mo.
Grasp: Cylindrical grasp(i.e. picking up a glass)
1 year 6 mo to 3 years
Fine motor reach: Begins using second hand as stabilizer when manipulating.
1 year 4mo to 1 year 7 mo.
Dominance hand skills: Dominant and active assistive hand use
1 year 3 mo. to 1 year 6 mo.
Bilateral hand skills: Bangs objects holding one in each hand; Able to hold toy in one hand while using other to explore it.
0 mo.to 10 mo.
Voluntary release: Release voluntary with one hand(drops objects off tray)
0 to 9 mo.
Dominance hand skills: Uses opposing hands (i.e. holds paper adn cuts with scissors)
2 years to 6 mo.
Dominance hand skills: Both hands equally skilled
0 to 7 mo.
In-hand manipulation: Uses shift and complex rotation to position objects for functional use
5 year to 6 mo.
Fine motor reach: Basic fine motor skills should be achieved-continue refining
6 years and older
Grasp: Radial palmer grasp
6 to 7 mo.
Fine motor reach: Proficient reach to place large pegs in/out of board
1 year 8 mo to 2 years
In-hand manipulation: Can perform manipulation skills with single object (manipulation without stabilization)
3 years and 0 mo.
Grasp: Ulnar palmar grasp(thumb not active)
3 1/2 mo to 4 1/2 mo.
Bilateral hand skills: Refining skills leading to using 2 hands at same time but for different actions.
1 year 6 mo. to 2 years
Fine motor reach: Controlled voluntary release
9 mo. to 10 mo.
Grasp: opposes thumb to fingers
4 years and 6 mo.
Fine motor reach: Reaches to toy w/out grasp: inspects hands
2 1/2 to 4 1/2 mo.
Fine motor reach: Wrist and fingers extended during reach and release
0 to 10 mo.
Fine motor reach: Refinement of strength and control of proximal muscles for distal skill.
2 year 8 mo to 3 years
Dominance hand skills: Hand preference established
2 years to 0 mo.
Dominance hand skills: Dominance gradually increasing for skilled activities regardless of task
4 years to 6 years
In-hand manipulation: Brings object from palm to fingers, repositioning object 180-360 degrees( complex rotation)
2 years 6 mo to 3 years
Fine motor Reach: Differentiated asymmetrical reach
0 to 10 mo.
Grasp-Hands predominantly closed
0 to 3 mo.
Dominance hand skills: Both hands active in object manipulation
2 years 6 mo. to 3 years 6 mo.
Fine motor reach: Emerging momentary reach/grasp while in prone or supported sitting
0 to 4 mo. to 0 to 5 mo.
Grasp: Static tripod grasp of writing instrument
2 years to 3 years to 6 mo.
Grasp: Spherical grasp( i.e. opening a jar lid)
3 years. to 0 mo.
Fine motor reach: Reaches for and transfers object
6 to 7 mo.
Voluntary release: Shoulder, elbow, wrist stable, release into containers
1 years old to 0 mo.
Dominance hand skills: Dominance fleeting
0 to 10 mo to 0 to 11 mo.
In-hand manipulation: All types present but not fully developed.
7 years to 0 mo.
Fine motor reach: Arms move symmetrically moving toward asymmetrical
3 to 10 mo.
Grasp: Dynamic tripod grasp or writing instrument
2 years 8 mo to 3 years to 0 mo.
